Individual provider · Type 1 NPI

Shannon Sparks

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1255092102 Active

Practice location

36 N Detroit St
Xenia, OH 45385-2909

Call (937) 610-4673 Map

Fax (937) 736-2615

Mailing address

3103 Dixie Hwy
Hamilton, OH 45015-1653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.178872

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255092102

Shannon Sparks's National Provider Identifier is 1255092102, issued on Jan 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Jan 4, 2022.